| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
50,080 |
41,899 |
$13.16M |
| 00003 |
Internal/system code - not a standard HCPCS code |
29,384 |
20,428 |
$10.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,026 |
8,180 |
$340K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,536 |
11,165 |
$324K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,558 |
1,247 |
$84K |
| 90837 |
Psychotherapy, 53 minutes with patient |
577 |
265 |
$51K |
| 90834 |
Psychotherapy, 45 minutes with patient |
904 |
466 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
627 |
417 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
435 |
266 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
193 |
$9K |
| 99215 |
Prolong outpt/office vis |
186 |
111 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
68 |
54 |
$6K |
| 90686 |
|
1,512 |
1,094 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
348 |
211 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
55 |
37 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
76 |
42 |
$3K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
43 |
41 |
$3K |
| 99173 |
|
1,501 |
991 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
78 |
53 |
$3K |
| 87631 |
|
96 |
33 |
$2K |
| 85018 |
|
899 |
776 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
19 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
278 |
218 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
67 |
$2K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
119 |
96 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
38 |
$1K |
| 81003 |
|
723 |
384 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
56 |
13 |
$1K |
| 92551 |
|
170 |
94 |
$1K |
| 90656 |
|
26 |
26 |
$639.03 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
15 |
$529.95 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
47 |
41 |
$521.38 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
53 |
$361.54 |
| 80053 |
Comprehensive metabolic panel |
75 |
38 |
$278.52 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
31 |
26 |
$85.00 |
| 90651 |
|
21 |
12 |
$72.00 |
| 90785 |
|
47 |
25 |
$65.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
12 |
$62.10 |
| 90734 |
|
13 |
13 |
$36.00 |
| 81025 |
|
20 |
12 |
$30.80 |
| 36415 |
Collection of venous blood by venipuncture |
68 |
40 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 87634 |
|
16 |
15 |
$0.00 |
| 99001 |
|
12 |
12 |
$0.00 |